Dennis A Herzog is a Dermatology in Marquette, Michigan. Dennis A Herzog practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Dennis A Herzog is 1700836855. The last update date is 2008-05-20.
Dennis A Herzog's current location address is 1414 W Fair Ave, Marquette, Michigan. You can contact this provider via phone number 9062253970. The mailing address for Dennis A Herzog is 1414 W Fair Ave, Marquette, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dennis A Herzog |
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Address | 1414 W Fair Ave, Marquette, Michigan |
Phone Number | 9062253970 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1700836855 |
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Provider Enumeration Date | 2006-05-11 |
Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
Address | 1414 W Fair Ave |
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City | Marquette |
State | Michigan (MI) |
Post Code | 498552675 |
Phone Number | 9062253970 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | 4301035261 |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
705200122 | MI | BLUE CROSS BLUE SHIELD MI | |
101658376 | MI | -- |
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What is the unique 10-digit identifier code issued to Dennis A Herzog by the Centers for Medicare & Medicaid Services?
The Dennis A Herzog has been assigned the NPI (National Provider Identifier) 1700836855 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dennis A Herzog's facilities are situated?
The facilities of Dennis A Herzog are physically located at the following address: 1414 W Fair Ave, Marquette, MI, 498552675.
What is Dennis A Herzog's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dennis A Herzog is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did Dennis A Herzog receive its 1700836855 assignment from the Centers for Medicare & Medicaid Services?
The Dennis A Herzog was assigned its 1700836855 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dennis A Herzog most recently updated or revised?
The information pertaining to Dennis A Herzog, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-20.